Stacey Marie Gardiner in Milwaukee - Cardiovascular Disease
Stacey Marie Gardiner - NPI 1407930332
Stacey Marie Gardiner is a Cardiovascular Disease in Milwaukee, Wisconsin. Stacey Marie Gardiner practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Stacey Marie Gardiner is 1407930332. The last update date is 2012-06-20.
Stacey Marie Gardiner's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148056633 and fax number 4148056280. The mailing address for Stacey Marie Gardiner is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Marie Gardiner |
|---|---|
| Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4148056633 |
| Fax Number | 4148056280 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407930332 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2012-06-20 |
Provider Mailing Address Detail
| Address | 9200 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263522 |
| Phone Number | 4148056633 |
| Fax Number | 4148056280 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 45886 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1407930332 | WI | -- |
Post Comment/ Review Below
What is the Stacey Marie Gardiner's unique identification number?
The Stacey Marie Gardiner has been assigned the NPI (National Provider Identifier) Number 1407930332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Stacey Marie Gardiner?
The Stacey Marie Gardiner is situated at 9200 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the zip code 532263522.
What is the area of specialization for Stacey Marie Gardiner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey Marie Gardiner is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407930332 to Stacey Marie Gardiner?
The Centers for Medicare & Medicaid Services assigned the 1407930332 to Stacey Marie Gardiner on 2006-10-25.
As of what date were the details related to Stacey Marie Gardiner most recently updated or revised?
The information pertaining to Stacey Marie Gardiner, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-20.